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Nonprofiteer
← FROEDTERT WEST BEND HOSPITAL FOUNDATION INC

Form 990 for tax year 2023

Filed by FROEDTERT WEST BEND HOSPITAL FOUNDATION INC.

Totals

Total revenue
$1,438,539
Total expenses
$553,395
Contributions and grants received
$248,273
Grants paid
$297,644
Program service revenue
$0
Investment income
$1,183,817
Other revenue
$6,449
Total assets, end of year
$25,011,797
Total liabilities, end of year
$355,819
Net assets or fund balances, end of year
$24,655,978
Program services expenses (Part IX)
$304,997
Management and general expenses
$30,118
Fundraising expenses
$218,280
Program service expenses (Part III)
$304,997

Program services were 55.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1c · Fundraising events

    $117,540

  • 1d · Related organizations

    $0

  • 1e · Government grants (contributions)

    $0

  • 1f · All other contributions, gifts and grants

    $130,733

  • 1g · Noncash contributions included above

    $15,390

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $682,167 · excluded $682,167

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7a · Gross sales of assets other than inventory

    securities $21,222,016

  • 7b · Less cost or other basis and sales expenses

    securities $20,720,366

  • 7c · Gain or loss

    securities $501,650 · other assets $0

  • 7d · Net gain or loss

    total $501,650 · excluded $501,650

  • 8a · Fundraising events: gross income

    $10,834

  • 8a · Fundraising events: contributions included on line 1c

    $117,540

  • 8b · Fundraising events: direct expenses

    $4,385

  • 8c · Net income from fundraising events

    total $6,449 · excluded $6,449

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $238,644 · program services $238,644

  • 2 · Grants to domestic individuals

    total $59,000 · program services $59,000

  • 7 · Other salaries and wages

    total $175,690 · management and general $17,569 · fundraising $158,121

  • 9 · Other employee benefits

    total $12,644 · management and general $1,264 · fundraising $11,380

  • 11f · Fees: investment management

    total $2,375 · management and general $2,375

  • 11g · Fees: other

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 13 · Office expenses

    total $3,930 · management and general $393 · fundraising $3,537

  • 24a · Other expenses: HOSPITAL SUPPORT

    total $28,297 · management and general $4,310 · fundraising $23,987

  • 24b · Other expenses: PRINTING & PUBLICATIONS

    total $13,577 · management and general $1,358 · fundraising $12,219

  • 24c · Other expenses: ALL OTHER EXPENSES

    total $9,198 · program services $7,353 · management and general $1,845

  • 24d · Other expenses: MINOR EQUIPMENT

    total $5,656 · management and general $565 · fundraising $5,091

  • 24e · All other expenses

    total $4,384 · program services $0 · management and general $439 · fundraising $3,945

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $251,578 · end of year $256,183

  • 3 · Pledges and grants receivable

    beginning of year $21,862 · end of year $20,766

  • 4 · Accounts receivable

    beginning of year $800 · end of year $0

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    end of year $0

  • 10a · Land, buildings and equipment: cost or other basis

    $27,248

  • 10b · Land, buildings and equipment: accumulated depreciation

    $27,248

  • 10c · Land, buildings and equipment, net

    end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $23,056,540 · end of year $24,734,848

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    end of year $0

  • 25 · Other liabilities

    beginning of year $402,357 · end of year $355,819

  • 27 · Net assets without donor restrictions

    beginning of year $22,507,946 · end of year $24,235,501

  • 28 · Net assets with donor restrictions

    beginning of year $420,477 · end of year $420,477

Mission and programs · 2023

Mission

TO IMPROVE THE HEALTH, WELLNESS AND EDUCATION OF THE COMMUNITY THROUGH THE DEVELOPMENT AND STEWARDSHIP OF PHILANTHROPIC RESOURCES IN SUPPORT OF ST. JOSEPH'S COMMUNITY HOSPITAL OF WEST BEND.

  • FROEDTERT WEST BEND HOSPITAL FOUNDATION, INC., IS A NONSTOCK, NONPROFIT CORPORATION THAT RECEIVES GIFTS AND BEQUESTS, RAISES FUNDS FOR SPECIFIC PROJECTS OR NEEDS, ADMINISTERS AND INVESTS FUNDS, AND DISBURSES PAYMENTS TO FURTHER THE MISSION AND PURPOSES OF ST. JOSEPH'S COMMUNITY HOSPITAL OF WEST BEND.

    Expenses $245,997 · Grants $238,644

  • FROEDTERT WEST BEND HOSPITAL FOUNDATION, INC. ISSUES SCHOLARSHIPS EACH YEAR FROM MONEY DONATED TO THE FOUNDATION FROM AN OUTSIDE DONOR. CURRENT YEAR SCHOLARSHIP EXPENSES TOTALED $59,000.

    Expenses $59,000 · Grants $59,000

As filed on the 2023 return.

Listed in Part VII

  • Allen Ericson

    Director & SJH President

    Total calculated
    $1,049,080
    From this org
    $0
    From related orgs
    $875,006
    Other
    $174,074
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $564,706 related
    Bonus
    $0 + $142,952 related
    Other
    $0 + $167,348 related
    Deferred
    $0 + $137,340 related
    Nontaxable benefits
    $0 + $36,734 related
    Filer's total
    $0 + $1,049,080 related
  • Amy Dahlberg

    Director & BOD V.Chair & Secr

    Total calculated
    $0
    Hours/week
    1
  • Dan Miller

    Director & BOD Chair

    Total calculated
    $0
    Hours/week
    1
  • Nooriya Farheen

    Treasurer (Start Jul23)

    Total calculated
    $144,191
    From this org
    $0
    From related orgs
    $130,421
    Other
    $13,770
    Hours/week
    1 + 49 related
  • Austin Smith

    Director

    Total calculated
    $0
    Hours/week
    1
  • Catherine Jacobson

    Director (Start Jul23) & FTCH President/CEO

    Total calculated
    $6,191,269
    From this org
    $0
    From related orgs
    $5,872,993
    Other
    $318,276
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,711,053 related
    Bonus
    $0 + $1,915,129 related
    Other
    $0 + $2,246,811 related
    Deferred
    $0 + $280,978 related
    Nontaxable benefits
    $0 + $37,298 related
    Filer's total
    $0 + $6,191,269 related
  • Chad Feltz

    Director

    Total calculated
    $0
    Hours/week
    1
  • Chris Chlupp

    Director

    Total calculated
    $0
    Hours/week
    1
  • Gary Herdrich

    Director

    Total calculated
    $0
    Hours/week
    1
  • Jacci Gambucci

    Director

    Total calculated
    $0
    Hours/week
    1
  • John Breuer

    Director

    Total calculated
    $0
    Hours/week
    1
  • Peter Rettler

    Director (Start Jul23)

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Tom Zuern

    Director

    Total calculated
    $0
    Hours/week
    1
  • Troy Hanson

    Director

    Total calculated
    $0
    Hours/week
    1
  • Michael Malzewski

    Former - Officer (Treas)

    Total calculated
    $402,491
    From this org
    $0
    From related orgs
    $375,448
    Other
    $27,043
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $178,938 related
    Bonus
    $0 + $28,064 related
    Other
    $0 + $168,446 related
    Deferred
    $0 + $19,155 related
    Nontaxable benefits
    $0 + $7,888 related
    Filer's total
    $0 + $402,491 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 4a Severance or change-of-control payment
SEVERANCE: MALZEWSKI, MICHAEL - $141,825
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
457(F) DISTRIBUTIONS: ERICSON, ALLEN - $139,594 JACOBSON, CATHERINE - $2,074,559 457(F) PLAN PARTICIPANTS: ERICSON, ALLEN JACOBSON, CATHERINE NON-QUALIFIED DISTRIBUTIONS: JACOBSON, CATHERINE - $167,475 (OF WHICH $0 WAS REPORTED AS DEFERRED ON A PRIOR FORM 990) NON-QUALIFIED PARTICIPANTS: JACOBSON, CATHERINE
Schedule J, Part I, Line 3
THE PRESIDENT/CEO'S PERFORMANCE IS REVIEWED BY THE BOARD CHAIR ANNUALLY. THE BOARD OF ST. JOSEPH'S COMMUNITY HOSPITAL OF WEST BEND, INC. APPROVES ANY SALARY AND/OR BENEFIT CHANGES. SALARIES ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE FROEDTERT THEDACARE HEALTH, INC. (A RELATED ORGANIZATION) BOARD OF DIRECTORS, UTILIZING VARIOUS COMPENSATION STUDIES AND COMPARATIVE DATA.
Schedule J, Part I, Line 7
BONUS COMPENSATION IS PAID BASED UPON ATTAINMENT OF SPECIFIC GOALS RELATED TO THE ORGANIZATION'S STRATEGY, SERVICE, QUALITY, AND FINANCIAL STRENGTH. THE AMOUNT OF COMPENSATION IS CALCULATED USING SPECIFIED PERCENTAGES OF BASE SALARY FOR ACHIEVEMENT OF PARTICULAR GOAL LEVELS. HOWEVER, THE FROEDTERT THEDACARE HEALTH SYSTEM BOARD COMMITTEE WHICH ADMINISTERS THE BONUS COMPENSATION PROGRAM HAS DISCRETION OVER WHETHER TO PAY THE BONUS IN ANY GIVEN YEAR OR TO AMEND, CHANGE, OR TERMINATE THE PROGRAM AT ANY TIME.
Schedule J, Part II, Column (B)(ii)
BONUS AND INCENTIVE COMPENSATION AMOUNTS INCLUDE INCENTIVE COMPENSATION PAID.
Schedule J, Part II, Column (B)(iii)
OTHER REPORTABLE COMPENSATION INCLUDES 457(F) DEFERRED COMPENSATION PLAN DISTRIBUTIONS PAID TO INDIVIDUALS, AMOUNTS PAID IN LIEU OF 457(F) DEFERRED COMPENSATION PLAN CONTRIBUTIONS, AND OTHER MISCELLANEOUS COMPENSATION.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2023
Filed
15 May 2025
IRS schema version
2023v6.0
Source object
202541359349304149

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